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A bulbar artery pseudoaneurysm following traumatic urethral catheterization
Mathieu Bettez1, Melanie Aubé2, Mohamed El Sherbiny1
1Division of Pediatric Urology, Montreal Children's Hospital, McGill University Health Centre, Montreal, QC, Canada.
Summary
Traumatic urethral catheterization can cause rare pseudoaneurysms. This case highlights a bulbar artery pseudoaneurysm in a young male following Foley catheter misplacement, successfully treated with embolization.
Area of Science:
- Urology
- Vascular Surgery
- Pediatric Surgery
Background:
- Urethral catheterization, while common, carries risks of serious complications.
- Urethral pseudoaneurysms are a rare but significant complication.
- Misplacement of Foley catheters can lead to vascular injury.
Purpose of the Study:
- To report a rare case of bulbar artery pseudoaneurysm.
- To illustrate the diagnostic and therapeutic approach for post-catheterization pseudoaneurysms.
- To emphasize the potential complications of urethral catheterization in pediatric patients.
Main Methods:
- Case report of a 13-year-old male with Foley catheter misplacement.
- Diagnostic workup including cystoscopy and angiography.
- Interventional radiology procedure: selective embolization of the pseudoaneurysm.
Main Results:
- Successful diagnosis of a bulbar artery pseudoaneurysm.
- Angiographic confirmation of the pseudoaneurysm.
- Successful endovascular embolization leading to complete resolution of bleeding and hematuria.
Conclusions:
- Foley catheter misplacement can result in traumatic bulbar artery pseudoaneurysms.
- Angiography and embolization are effective treatments for urethral pseudoaneurysms.
- Vigilance for rare complications of urethral catheterization is crucial, especially in pediatric orthopedic surgery.
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